Heat-Related Illness Is Associated with Lack of Air Conditioning and Pre-Existing Health Problems in Detroit, Michigan, USA: A Community-Based Participatory Co-Analysis of Survey Data

Cardoza, Jacqueline Elizabeth; Gronlund, Carina J.; Schott, Justin; Ziegler, Todd; Stone, Brian; OʼNeill, Marie S.

doi:10.3390/ijerph17165704

Cited by 14 publications

(6 citation statements)

References 18 publications

(24 reference statements)

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“…Others have called for combining antiracist principles with those of community-based participatory research, an approach that emphasizes community knowledge and equal partnerships with academics ( 63 ). Collaborating in research with affected communities and co-analysis of collected data will lead to enhanced insights into causal mechanisms being explored ( 64 ). Thus, in addition to tapping into existing data sources and applying methods such as those we illustrate here, we advocate for engaging community members and practitioners in evaluating and framing research questions.…”

Section: Discussionmentioning

confidence: 99%

Structural racism, air pollution and the association with adverse birth outcomes in the United States: the value of examining intergenerational associations

Buxton

Fleischer

et al. 2023

Front. Epidemiol.

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Structurally racist policies and practices of the past are likely to be a driving factor in current day differences in exposure to air pollution and may contribute to observed racial and ethnic disparities in adverse birth outcomes in the United States (U.S.). Non-Hispanic Black women in the U.S. experience poorer health outcomes during pregnancy and throughout the life course compared to non-Hispanic White women. This disparity holds even among non-Hispanic Black women with higher socioeconomic status. Reasons for this finding remain unclear, but long-term environmental exposure, either historical exposure or both historical and ongoing exposure, may contribute. Structural racism likely contributes to differences in social and environmental exposures by race in the U.S. context, and these differences can affect health and wellbeing across multiple generations. In this paper, we briefly review current knowledge and recommendations on the study of race and structural racism in environmental epidemiology, specifically focused on air pollution. We describe a conceptual framework and opportunities to use existing historical data from multiple sources to evaluate multi-generational influences of air pollution and structurally racist policies on birth and other relevant health outcomes. Increased analysis of this kind of data is critical for our understanding of structural racism's impact on multiple factors, including environmental exposures and adverse health outcomes, and identifying how past policies can have enduring legacies in shaping health and well-being in the present day. The intended purpose of this manuscript is to provide an overview of the widespread reach of structural racism, its potential association with health disparities and a comprehensive approach in environmental health research that may be required to study and address these problems in the U.S. The collaborative and methodological approaches we highlight have the potential to identify modifiable factors that can lead to effective interventions for health equity.

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Section: Discussionmentioning

confidence: 99%

Structural racism, air pollution and the association with adverse birth outcomes in the United States: the value of examining intergenerational associations

Buxton

Fleischer

et al. 2023

Front. Epidemiol.

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“…From these results, it is known that respondents who work with heat pressure below the threshold value of 24.7°C as many as 16 workers (26.7%), namely in the vacuum section, and respondents who work with heat pressure exceeding the threshold value of 33.4°C as many as 44 workers (73.3%) in the oven and sawmill and work activities with a working time of 8.5 hours a day and a working period of 6 days. It shows that the temperature generated in the workplace exceeds the permissible threshold value, and in daily activities, workers can experience a lack of fluids in the body, and body temperature increases [21].…”

Section: Discussionmentioning

confidence: 99%

“…If the workforce works in a workplace with heat stress exceeding the threshold value, it can experience the impact of heat stress. The effect of heat stress occurs due to the body's metabolism in maintaining body heat which does not work, namely in the form of sweating [21].…”

Section: Discussionmentioning

confidence: 99%

Relationship of Noise Intensity, Heat Stress, and Physical Workload to Workers' Health Complaints at Semarang Timber Factory

Atmaja

Setyaningsih²,

Wahyuni³

2022

Dis.Prev.Public Heal J.

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Background: As a country with a developed industry, the majority of entrepreneurs in Indonesia use modern industrial tools to help make their work easier. However, using modern technology causes side effects, such as noise from machines that cause hearing complaints. In addition, the hot work environment causes discomfort during work, and the excessive physical workload makes workers experience health complaints. Methods: This quantitative research uses a cross-sectional study approach with a purposive sampling technique. The sample consisted of 60 workers from a total of 126 in a wood factory in Semarang. The research instrument is a health complaint questionnaire sheet and a noise (a sound level meter), a physical workload (an oximeter), and a heat pressure (the QUESTemp). Data was analyzed by univariate and bivariate using the chi-square test. Results: The highest noise intensity is 98.02 dB, the highest heat pressure is 33.4°C, and the majority of the physical workload felt by workers is in the medium category. The chi-square test shows a relationship between noise intensity, heat stress, and health complaints of workers in a Semarang wood factory (p<0.05). Meanwhile, physical workload has no relationship with the health complaints of workers at the Semarang wood factory (p>0.05). Conclusion: Semarang wood factory has noise intensity and heat stress exceeding the threshold value, and most workers experience moderate physical workloads. The company should direct control of workers through the use of personal protective equipment and adequate drinking water, as well as controlling physical workloads on workers with workplace stretching exercises.

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“…To reduce mortality, preventing heatstroke is more effective than treatment, involving simple yet realistic countermeasures to reduce heatstroke incidence ( 9 ). Published preventive measures of heatstroke include the installation of air-conditioners ( 10 ) and enhancement of public support for older adults ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Possible adaptation measures for climate change in preventing heatstroke among older adults in Japan

Fujimoto,

Hayashi,

Nishiura

2023

Front. Public Health

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IntroductionHeatstroke mortality is highest among older adults aged 65 years and older, and the risk is even doubled among those aged 75 years and older. The incidence of heatstroke is expected to increase in the future with elevated temperatures owing to climate change. In the context of a super-aged society, we examined possible adaptation measures in Japan that could prevent heatstroke among older people using an epidemiological survey combined with mathematical modeling.MethodsTo identify possible interventions, we conducted a cross-sectional survey, collecting information on heatstroke episodes from 2018 to 2019 among people aged 75 years and older. Responses were analyzed from 576 participants, and propensity score matching was used to adjust for measurable confounders and used to estimate the effect sizes associated with variables that constitute possible interventions. Subsequently, a weather-driven statistical model was used to predict heatstroke-related ambulance transports. We projected the incidence of heatstroke-related transports until the year 2100, with and without adaptation measures.ResultsThe risk factor with the greatest odds ratio (OR) of heatstroke among older adults was living alone (OR 2.5, 95% confidence interval: 1.2–5.4). Other possible risk factors included an inability to drink water independently and the absence of air conditioning. Using three climate change scenarios, a more than 30% increase in the incidence of heatstroke-related ambulance transports was anticipated for representative concentration pathways (RCP) 4.5 and 8.5, as compared with a carbon-neutral scenario. Given 30% reduction in single living, a 15% reduction in the incidence of heatstroke is expected. Given 70% improvement in all three risk factors, a 40% reduction in the incidence can be expected.ConclusionPossible adaptation measures include providing support for older adults living alone, for those who have an inability to drink water and for those without air conditioning. To be comparable to carbon neutrality, future climate change under RCP 2.6 requires achieving a 30% relative reduction in all three identified risks at least from 2060; under RCP 4.5, a 70% reduction from 2050 at the latest is needed. In the case of RCP 8.5, the goal of heatstroke-related transports approaching RCP 1.9 cannot be achieved.

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Heat-Related Illness Is Associated with Lack of Air Conditioning and Pre-Existing Health Problems in Detroit, Michigan, USA: A Community-Based Participatory Co-Analysis of Survey Data

Cited by 14 publications

References 18 publications

Structural racism, air pollution and the association with adverse birth outcomes in the United States: the value of examining intergenerational associations

Structural racism, air pollution and the association with adverse birth outcomes in the United States: the value of examining intergenerational associations

Relationship of Noise Intensity, Heat Stress, and Physical Workload to Workers' Health Complaints at Semarang Timber Factory

Possible adaptation measures for climate change in preventing heatstroke among older adults in Japan

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